Flashcards on Health Insurance and Claims Processing
Health Insurance & Claims Processing: A Student Guide
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Medical Coding: ICD-10-CM Principles
65 cards
Card 1
Question: What levels of alphanumeric characters can ICD-10-CM codes contain?
Answer: Three, four, five, six, or seven characters (letters and numbers).
Card 2
Question: In the ICD-10-CM tabular list, what is the final level of subdivision called?
Answer: A code (the final level of subdivision is a code).
Card 3
Question: How are codes that have an applicable seventh character referred to in the tabular list?
Answer: They are referred to as codes (not subcategories) and are considered invalid without the seventh character.
Card 4
Question: For reporting purposes, which level(s) of ICD-10-CM classification are permissible to use?
Answer: Only codes (not categories or subcategories) are permissible for reporting purposes, and any applicable seventh character is required.
Card 5
Question: What character is used as a placeholder in ICD-10-CM to allow future expansion, and when must it be used?
Answer: The character 'X' is used as a placeholder and must be entered when a placeholder exists for the code to be valid.
Card 6
Question: Where must the seventh character always be located when required?
Answer: The seventh character must always be located in the seventh-character data field.
Card 7
Question: What should you do if a code requires a seventh character but is not six characters long?
Answer: Enter placeholder 'X' to fill in the empty character(s) so the seventh character occupies the seventh position.
Card 8
Question: Give an example of using an 'X' placeholder in an ICD-10-CM code.
Answer: Example: M48.46XS — the 'X' fills empty positions so the seventh character 'S' is in the seventh-character field.
Card 9
Question: What visual formatting indicates codes in the ICD-10-CM tabular list?
Answer: All codes in the ICD-10-CM tabular list are boldfaced.
Card 10
Question: Are categories and subcategories sufficient for reporting medical diagnoses?
Answer: No — for reporting you must use full codes (the final level) including any required seventh character; categories and subcategories alone are not acce